Fred M Watkins, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A117467 Issued in CA

Practice address

1810 Fullerton Ave
Corona, CA 92881-3103

Phone

(951) 200-6919

Fax

(909) 321-5080

NPI assigned

Jul 8, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bendito Medical CorporationGroup PAC ID 3870988637, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4
• Direct secure messaging: fred.watkins.p5@direct.mydohc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bendito Medical Corporation

  • Primary Care Clinic/Center
  • San Bernardino, CA
  • NPI 1679100911

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment NPD
• Haven Elite Urgent Care

  • Urgent Care Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1619473154
  Medicare reassignment NPD
• West Side Health Care District

  • Rural Health Clinic/Center
  • Taft, CA
  • NPI 1992142277
  Medicare reassignment NPD
• John R Shaw MD Medical Corporation

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1801040688

  Family Medicine

  NPD (past)
• Physician Partners Medical Group Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1891067344
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1417244591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540390",
            "telephone_number": "951-200-6919",
            "fax_number": "909-321-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-200-6919",
            "fax_number": "909-321-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Wilson St",
            "address_2": "RACH UCC",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "735034472",
            "country_code": "US",
            "telephone_number": "580-558-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "FRED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A117467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaja Washington
• Ustina Wasif
• Noreen Wasim
• Brianna Marie Waterbury, BCBA
• Watergreen Medical Supply Inc
• Tierney Watkins
• Troy Watkins
• Deneen Leo Watson, MS. LMFT, CADC-II
• Andrea Nicole Wayne
• Weber Counseling Services a Licensed Clinical Social Worker PR

• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.